A nurse is reviewing urinary laboratory results. Which finding will cause the nurse to follow up?
Urine output of 80 mL/hr
Specific gravity of 1.036
pH of 6.4
Protein level of 2 mg/100 mL
The Correct Answer is B
A. Urine output of 80 mL/hr: Normal urine output is 30–50 mL/hr. A urine output of 80 mL/hr is within an acceptable range and does not indicate a problem.
B. Specific gravity of 1.036: Normal urine specific gravity ranges from 1.005 to 1.030. A level of 1.036 indicates dehydration or concentrated urine, which requires further assessment.
C. pH of 6.4: Normal urine pH ranges from 4.5 to 8.0, with an average around 6.0. A pH of 6.4 is within normal limits and does not require follow-up.
D. Protein level of 2 mg/100 mL: Normal urine protein is less than 8 mg/100 mL, so 2 mg/100 mL is within normal limits and does not indicate a concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Stop the enema and document that the client did not tolerate the procedure: Not necessary. Slowing the flow often relieves cramps. Stopping the procedure entirely may lead to incomplete evacuation.
B. Lower the height of the solution container: Slows the flow rate, reducing cramping. High flow rates cause rapid intestinal distention, leading to discomfort.
C. Encourage the client to bear down: Bearing down increases intra-abdominal pressure, worsening cramps.
D. Allow the client to expel some fluid before continuing: Could disrupt the enema’s effectiveness.
Correct Answer is C
Explanation
A. Wear an adult diaper. This is a temporary solution, not a treatment. The goal is to strengthen pelvic muscles rather than rely on absorbent products.
B. Avoid voiding frequently. Timed voiding may help prevent accidents, but holding urine longer can worsen incontinence.
C. Perform pelvic floor exercises. Kegel exercises strengthen pelvic floor muscles, improving bladder control and reducing urine leakage.
D. Drink cranberry juice. Cranberry juice is sometimes used to prevent UTIs, but it does not treat stress incontinence.
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